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Task-Specific Training in Children With Autism Spectrum Disorder: Systematic Review With Meta-Analysis
Mariana Rodrigues Costa1, Lidiane Francisca Borges Ferreira, Amanda Cristina Fernandes
1Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil (Ms Rodrigues Costa, Ms Ferreira, Dr Fernandes, Dr Oliveira Souto, Dr Leite, and Dr Rodrigues de Sousa Junior) and CanChild Centre for Childhood-Onset Disability, Hamilton, Canada (Dr Leite).
Purpose:
This systematic review examines the efficacy of task-specific training for children and adolescents with autism spectrum disorder (ASD).
Summary Of Key Findings:
A search for randomized controlled trials was conducted in relevant databases. Risk of bias was assessed using the risk-of-bias tool scale, and the certainty of evidence was evaluated with the Grading of Recommendations Assessment, Development, and Evaluation system. Data were analyzed using random-effects meta-analyses. Four studies were included. Task-specific training improved gross motor skills and body functions such as agility, coordination, strength, and balance in children with ASD. However, the level of evidence remains very low to low due to small sample sizes and methodological limitations.
Conclusion:
Although task-specific training may benefit children with ASD, the evidence base is weak. Further high-quality studies are needed to replicate these findings and determine the optimal dosage.
Recommendations For Practice:
Clinicians should use task-specific training cautiously due to its level of evidence. Future research should prioritize well-designed randomized controlled trial with larger sample sizes.
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